EOI - Facilitator RACMA Peer Support Group Program

RACMA Peer Support Group Program

Thank you for expressing interest in being the Facilitator at the RACMA's Peer Support Group Program. Please ensure you complete all fields below.
1.RACMA ID Number(Required.)
2.Title(Required.)
3.First Name(Required.)
4.Last Name(Required.)
5.Please select your Jurisdiction:(Required.)
6.Please provide your preferred email address(Required.)
7.Please provide your preferred mobile number(Required.)
8.Please tell us why you would like to be a facilitator of RACMA Peer Support Group Program and describe your past experience as a facilitator (if applicable)?(Required.)